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目的探讨经尿道前列腺电气化治疗晚期前列腺肿瘤所致尿道梗阻的效果。方法回顾性分析50例经尿道前列腺电气化治疗的晚期前列腺肿瘤致尿道梗阻患者的临床资料。结果手术时间40~80 min,平均手术时间65 min。术后,患者的国际前列腺症状评分(IPSS)(7.5±2.3)分、残余尿量(RUV)(25.4±12.2)ml、最大尿流率(Qmax)(12.4±4.6)ml/s及生活质量(QOL)评分(3.2±0.4)分较术前有显著改善,差异具有统计学意义(P<0.01)。随访3~6月,仅有2例全身转移治疗无效死亡。结论经尿道前列腺电气化治疗晚期前列腺肿瘤所致尿道梗阻疗效显著,可以明显解除尿道梗阻,降低梗阻并发症的发生率,提高患者生活质量,推广临床使用具有重要意义。
Objective To investigate the effect of transurethral electrovaporization of the prostate on urethral obstruction caused by advanced prostate tumors. Methods The clinical data of 50 patients with urethral obstruction who had been treated by transurethral electrovaporization of the prostate were retrospectively analyzed. Results The operation time was 40-80 min with an average operation time of 65 min. The postoperative IPSS score was 7.5 ± 2.3, the residual urine volume (RUV) was 25.4 ± 12.2, the maximum blood flow rate was (12.4 ± 4.6) ml / s and the quality of life (QOL) score (3.2 ± 0.4) was significantly improved compared with preoperative, the difference was statistically significant (P <0.01). Follow-up 3 to 6 months, only 2 cases of systemic metastatic treatment died. Conclusions Transurethral electrovaporization of the prostate in the treatment of urethral obstruction caused by advanced prostate tumor has significant curative effect, which can relieve urethral obstruction, reduce the incidence of obstructive complications, improve patients’ quality of life, and promote clinical use.